Factors associated with recent HIV testing among high-risk men who have sex with men: a cross-sectional study in Cambodia

BMC Public Health

Research Article

Carinne Brody¹  Pheak Chhoun²  Sovannary Tuot²  Khuondyla Pal²  Sopheap Oum²  Siyan Yi³ 

[1] Center for Global Health Research, Public Health Program, Touro University California, 1310 Club Drive, 94594, Vallejo, CA, USA;Research Center, KHANA, P.O Box 2311-PP3, No. 33, Street 71, Phnom Penh, Cambodia;Research Center, KHANA, P.O Box 2311-PP3, No. 33, Street 71, Phnom Penh, Cambodia;Center for Global Health Research, Public Health Program, Touro University California, 1310 Club Drive, 94594, Vallejo, CA, USA;

关键词: Men who have sex with men;    HIV testing;    Risky sexual behaviors;    Condom use;    Cross-sectional study;    Cambodia;   

DOI  :  10.1186/s12889-015-2096-4

 received in 2015-03-18, accepted in 2015-07-24,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundDespite remarkable success in the fight against HIV, HIV prevalence in many countries remains high among key populations including men who have sex with men (MSM), and HIV testing rates is relatively low among this hard-to-reach population. This cross-sectional study explores factors associated with recent HIV testing among MSM in Cambodia.MethodsThis study was conducted in 2014 and included 384 MSM randomly selected from two provinces of Battembang and Siem Reap, using a two-stage cluster sampling method. A structured questionnaire was used for face-to-face interviews to collect data on socio-demographic characteristics, HIV testing history, sexual behaviors, HIV testing attitudes, and HIV knowledge. Multivariate logistic regression analysis was performed to identify factors independently associated with recent HIV testing.ResultsMean age of the participants was 23.4 (SD = 5.2). Of total, 83.6 % had been tested for HIV at least once in their lifetime, and 65.1 % had been tested for HIV in the past six months. After controlling for other covariates, MSM who had been tested for HIV in the past six months were significantly more likely to regard themselves as female (AOR = 2.29, 95 % CI = 1.06-5.37), have received some form of HIV education in the past six months (AOR = 3.97, 95 % CI = 1.91-8.26), perceive that they were at higher HIV risk compared to the general population (AOR = 2.48, 95 % CI = 1.14-4.86), have been diagnosed with an STI in the past six months (AOR = 3.19, 95 % CI = 1.02-9.24), report using a condom at last sexual intercourse with a man or woman (AOR = 2.24, 95 % CI = 1.06-3.13), and report using a condom at last sexual intercourse with a boyfriend (AOR = 2.17, 95 % CI = 1.04-5.31).ConclusionsThis study highlights the common practices of risky sexual behaviors and relatively low rate of recent HIV testing among MSM in Cambodia. HIV education and social marketing should be expanded and tailored for MSM, specifically addressing the risk of unprotected anal intercourse and the importance of regular HIV testing for early enrolment in the care and treatment cascade.

【 授权许可】

CC BY   
© Yi et al. 2015